Individual
MRS. KENDALL WILLIS KELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4768 SHORE DR, VIRGINIA BEACH, VA 23455-2713
(757) 460-1290
(757) 460-1547
Mailing address
4768 SHORE DR, VIRGINIA BEACH, VA 23455-2713
(757) 460-1290
(757) 460-1547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202005020
VA
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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